| Casa Recovery, Inc. | |
|
31877 Del Obispo St Suite 104 San Juan Capistrano CA 92675-3233 | |
| (888) 928-2272 | |
| Not Available |
| Full Name | Casa Recovery, Inc. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 31877 Del Obispo St, San Juan Capistrano, California |
| Authorized Official Name and Position | Debra Krishna Jessick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9492892752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Recovery, Inc. Po Box 7658 Capistrano Beach CA 92624-7658 Ph: (888) 928-2272 | Casa Recovery, Inc. 31877 Del Obispo St Suite 104 San Juan Capistrano CA 92675-3233 Ph: (888) 928-2272 |
| NPI Number | 1245664127 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 11/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245664127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (California) | Primary |
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